The treatment of advanced prostatitis - both chronic and acute - is a complete event that requires parallel use of a certain number of various drugs.Each specific case individually forms the necessary list of drugs, depending on the patient's history, the price of the disease and a number of other important factors.
Types of drugs
The selection of inexpensive but effective drugs for prostatitis is based on understanding the causes of the disease and the characteristics of its manifestation, however, antibiotics and anti-inflammatory drugs should be considered the key aspects of any list of drugs.In addition, if the latter can be general, it is advisable to prescribe antibiotics, taking into account the opposition of a specific type of pathogen agent identified as a result of analyzes.
In addition, such prostatitic drugs such as various types of anti-stakeholders, pain relievers, diuretics, alpha-blockers, antispasmodic, antiandrogens and laxatives can be used in therapy.
You can classify modern drugs not only for its ends, but also in the form of release:
- Injections (injections): The treatment of inflammation of the prostate gland with injections is justified, first of all, in the case of a serious state of a patient requiring immediate stabilization.As a rule, the drugs concentrated in the bulbs are diluted until the solution is obtained, after which it is prescribed to an intramuscular or R intravenous infusion;
- Candles: Drugs in the form of candles are relevant during the expected therapy of chronic prostatitis or as drugs for prostatitic prevention.In some cases, suppositories are prescribed to increase power, because the absorption of the substance of the intestinal mucosa provides its best penetration into the fabric of the prostate;
- Tablets and capsules: These drugs are the most common in the standard treatment plan for chronic or acute prostatitis.The tablets are easy at dose and to take, therefore, most antibiotics, anti-inflammatory drugs and remedies against edema (alpha-clockers or inhibitors of 5-alpha reductase) are produced in this form;
- Instillations: It is not so often practiced with prostatitis, whose essence is the introduction of a medicinal solution into the urethra or bladder using a special syringe.The main objective of the instillation is the restoration of the damaged mucosa, the destruction of the pathogenic microflora and the suppression of inflammatory processes;
- Microclisms: small cold enemas reduce local edema, inflammation and pain in the prostate gland, although in the same time they aggravate the transport of drugs in its tissues.At the last stages of therapy and after recovery, there may be microcrile lessons with solutions based on plant drugs.With a fairly long retention of the liquid in the intestine, its mucosa absorbs beneficial substances;
- Plasters: expensive plasters, such as microclysters, belong to auxiliary measures in the treatment of a prostate and have a body support effect, completing complete drug therapy.
When choosing the dose form of the drug, it is also necessary to take into account, in addition to the patient's condition, their own preferences.Some patients have problems with tablets to swallow, while others are contraindicated to others due to the presence of inflammatory diseases in the anorectal region.An important role is also played by factors such as the availability and cost of drugs - it is not always possible to choose a high speed and inexpensive remedy for prostatitis, which is why you should take less effective analogues.
Antibiotics
The selection of antibiotics requires a selective approach, as it is important to choose a drug that removes a specific type (or species) of pathogens from inflammatory prostatitis.Why doctors study the features taken from the urethra, urine tests and prostatic secretion samples.
It is extremely desirable to use antibacterial antibiotics which have both bacteriostatic and bactericidal effects so that the drug not only blocks the propagation of infection, but also actively destroys dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are preferred to a lesser extent, although they are cheap.Unlike fluoroquinolons and macrolides, they are characterized by a low capacity to penetrate the tissues of the prostate gland and to create the necessary concentrations of the active substance.The forms are powerful bactericidal preparations which are significantly higher in this parameter, which has stopped the spread of microorganisms, drugs
Alpha-clockers
This group of funds is actively used not only for prostatitis, but also for the adenoma of the prostate, and their effectiveness is based on the blocking of alpha-adrenergic receptors in order to prevent their contact with noradrenaline and adreterormemic.Consequently, the receptors of the vessels do not receive vasoconstrictive nerve signals, due to which their expansion is obtained with the subsequent improvement of the blood circulation.
It should be noted that in urology, selective alpha1 blocks are actively used, affecting receptors in the fabrics of the bladder, prostate and urinary tract.
A decrease in the swelling of the tissues not only improves the elimination of toxins and liquid waste, but also tones the entire genital system of men, helping to get rid of helplessness and the reduction of an erection.
Anti-inflammatory
Prostatitis in men is treated with the use of non-steroidal anti-inflammatory drugs (NSAIDs / NSAIDs) which meet the requirements of efficiency, but at the same time without danger to the body.The task of these drugs is to remove the inflammatory process, which affected prostate and, perhaps, seed bubbles, bladder neck and distal urinary tract.
After a decrease in the clinical severity of the inflammation of the prostate, the patient's condition is noted, in particular a decrease in body temperature, a decrease in the swelling of the prostate gland, eliminating uric obstruction and the suppression of pain in the genital region.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is only authorized in the case of a neglected chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory drugs are unable to normalize the disturbed hormonal background.
Depending on the objectives, the patient can be prescribed both androgens which increase the level of male hormones (testosterone) in the blood and estrogens which suppress the production of dihydrotestosterone, which causes the growth of prostate tissues.
All these drugs are released strictly according to prescription and must be used exclusively by the prescription of the attending physician, as the incorrect or premature dosage can destroy the patient's health.
Immunomodulators
The complicated course of acute prostatitis is aggravated by the development of immunosuppression, which can increase under the influence of a certain number of antibiotics and other drugs.For this reason, it is necessary to strengthen the resistance (resistance) of the body with respect to the pathogenic microflora, which is carried out using immunostimulants.
Remember that vitamins A, C and E also contribute to the strengthening of immunity, so that experts recommend actively consuming products containing these substances in large quantities.
Analgesic
Anesthetic drugs, as a rule, are necessary at the first stages of therapy, when the treatment has not yet managed to functionally improve the state of the prostate, which is why the patient experiences pain during urination, defecation, long base on a hard surface or physical activity.
As a rule, there are enough average analgesics accepted according to the requirements of one to three times a day.The funds listed have many structural (generic) analogues, and they are produced by many Russian and foreign companies, but doctors advise preference to domestic pain relievers so as not to pay too much for the brand.
Musory
From the class of muscle relaxants in urology, it is usual to prescribe antipasmodics - drugs that help relax smooth muscles in a state of spasm.Such therapy is effective in the acute course of prostatitis, causing an involuntary spasm of the prostate muscles and the whole pelvic floor.
The use of the antipasmodic course is not necessary: it is enough to take them in moderate doses during the first days or the week of general therapy.In addition, these drugs cannot be abused to avoid the risk of altered operation of the organs and relevant systems of the body.
Vegetable
Plant drugs prescribed for prostatitis are most often food supplements produced in the form of rectal suppositories, capsules or tablets.Among the popular extracts that form the basis of these drugs - the African plum cortex, the fruits of creeping (or dwarf) palm.A little less often used an extract from the prostatic animal gland (cattle).There is also a group of drugs that homeopathic preparations for the treatment of prostate inflammation.
For prostatitic prevention
Prostatitic prevention requires, first of all, to lead a healthy life, including regular sexual activity.But to maintain the tone, various drugs can be used - as a rule, we are talking about biologically active additives of plant origin.Since the manufacturers of these food supplements are declared their ability to help weaken libido, helplessness, erectile dysfunction and other disorders in the male genitar system work, they should be cautious with caution as a preventive agents of prostatitis.